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American Journal of Public Health logoLink to American Journal of Public Health
. 1995 May;85(5):702–706. doi: 10.2105/ajph.85.5.702

Chronic obstructive pulmonary disease in lifelong nonsmokers: results from NHANES.

A S Whittemore 1, S A Perlin 1, Y DiCiccio 1
PMCID: PMC1615439  PMID: 7733432

Abstract

The prevalence of chronic obstructive pulmonary disease was evaluated in 12,980 lifelong nonsmoking adults who participated in one of three National US Health and Nutrition Examination Surveys. Also evaluated were the relationships between chronic obstructive pulmonary disease and age, sex, ethnicity, education, income, and certain environmental and occupational factors. Overall, 4% of men and 5% of women reported physician-diagnosed chronic obstructive pulmonary disease. Prevalence increased with age and with decreasing household income, was higher in Whites than in non-Whites, and was particularly high in Hispanic women. Further research is needed to explain the excess risk for chronic obstructive pulmonary disease in economically disadvantaged nonsmokers, and to assess the role of environmental tobacco smoke in nonsmokers' risk for the disease.

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Selected References

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  1. Becklake M. R. Occupational exposures: evidence for a causal association with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1989 Sep;140(3 Pt 2):S85–S91. doi: 10.1164/ajrccm/140.3_Pt_2.S85. [DOI] [PubMed] [Google Scholar]
  2. Brunekreef B., Fischer P., Remijn B., van der Lende R., Schouten J., Quanjer P. Indoor air pollution and its effect on pulmonary function of adult non-smoking women: III. Passive smoking and pulmonary function. Int J Epidemiol. 1985 Jun;14(2):227–230. doi: 10.1093/ije/14.2.227. [DOI] [PubMed] [Google Scholar]
  3. Comstock G. W., Meyer M. B., Helsing K. J., Tockman M. S. Respiratory effects on household exposures to tobacco smoke and gas cooking. Am Rev Respir Dis. 1981 Aug;124(2):143–148. doi: 10.1164/arrd.1981.124.2.143. [DOI] [PubMed] [Google Scholar]
  4. Davis R. M., Novotny T. E. The epidemiology of cigarette smoking and its impact on chronic obstructive pulmonary disease. Am Rev Respir Dis. 1989 Sep;140(3 Pt 2):S82–S84. doi: 10.1164/ajrccm/140.3_Pt_2.S82. [DOI] [PubMed] [Google Scholar]
  5. Eisen E. A., Robins J. M., Greaves I. A., Wegman D. H. Selection effects of repeatability criteria applied to lung spirometry. Am J Epidemiol. 1984 Nov;120(5):734–742. doi: 10.1093/oxfordjournals.aje.a113941. [DOI] [PubMed] [Google Scholar]
  6. Feinleib M., Rosenberg H. M., Collins J. G., Delozier J. E., Pokras R., Chevarley F. M. Trends in COPD morbidity and mortality in the United States. Am Rev Respir Dis. 1989 Sep;140(3 Pt 2):S9–18. doi: 10.1164/ajrccm/140.3_Pt_2.S9. [DOI] [PubMed] [Google Scholar]
  7. HOLLAND W. W., REID D. D. THE URBAN FACTOR IN CHRONIC BRONCHITIS. Lancet. 1965 Feb 27;1(7383):445–448. doi: 10.1016/s0140-6736(65)91584-9. [DOI] [PubMed] [Google Scholar]
  8. Helsing K. J., Sandler D. P., Comstock G. W., Chee E. Heart disease mortality in nonsmokers living with smokers. Am J Epidemiol. 1988 May;127(5):915–922. doi: 10.1093/oxfordjournals.aje.a114894. [DOI] [PubMed] [Google Scholar]
  9. Higgins I. T. The epidemiology of chronic respiratory disease. Prev Med. 1973 Mar;2(1):14–33. doi: 10.1016/0091-7435(73)90005-4. [DOI] [PubMed] [Google Scholar]
  10. Huhti E. Chronic bronchitis in non-smokers -does it exist? Eur J Respir Dis Suppl. 1982;118:35–41. [PubMed] [Google Scholar]
  11. Husman K., Koskenvuo M., Kaprio J., Terho E. O., Vohlonen I. Role of environment in the development of chronic bronchitis. Eur J Respir Dis Suppl. 1987;152:57–63. [PubMed] [Google Scholar]
  12. Kalandidi A., Trichopoulos D., Hatzakis A., Tzannes S., Saracci R. The effect of involuntary smoking on the occurrence of chronic obstructive pulmonary disease. Soz Praventivmed. 1990;35(1):12–16. doi: 10.1007/BF01369539. [DOI] [PubMed] [Google Scholar]
  13. Korn R. J., Dockery D. W., Speizer F. E., Ware J. H., Ferris B. G., Jr Occupational exposures and chronic respiratory symptoms. A population-based study. Am Rev Respir Dis. 1987 Aug;136(2):298–304. doi: 10.1164/ajrccm/136.2.298. [DOI] [PubMed] [Google Scholar]
  14. Kuller L. H., Ockene J. K., Townsend M., Browner W., Meilahn E., Wentworth D. N. The epidemiology of pulmonary function and COPD mortality in the multiple risk factor intervention trial. Am Rev Respir Dis. 1989 Sep;140(3 Pt 2):S76–S81. doi: 10.1164/ajrccm/140.3_Pt_2.S76. [DOI] [PubMed] [Google Scholar]
  15. McGowan S. E., Hunninghake G. W. Neutrophils and emphysema. N Engl J Med. 1989 Oct 5;321(14):968–970. doi: 10.1056/NEJM198910053211410. [DOI] [PubMed] [Google Scholar]
  16. Morabia A., Menkes M. J., Comstock G. W., Tockman M. S. Serum retinol and airway obstruction. Am J Epidemiol. 1990 Jul;132(1):77–82. doi: 10.1093/oxfordjournals.aje.a115645. [DOI] [PubMed] [Google Scholar]
  17. Robbins A. S., Abbey D. E., Lebowitz M. D. Passive smoking and chronic respiratory disease symptoms in non-smoking adults. Int J Epidemiol. 1993 Oct;22(5):809–817. doi: 10.1093/ije/22.5.809. [DOI] [PubMed] [Google Scholar]
  18. Snider G. L. Chronic obstructive pulmonary disease: a definition and implications of structural determinants of airflow obstruction for epidemiology. Am Rev Respir Dis. 1989 Sep;140(3 Pt 2):S3–S8. doi: 10.1164/ajrccm/140.3_Pt_2.S3. [DOI] [PubMed] [Google Scholar]

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